Organization Active NPI

Soll Eye PC of PA

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1285628636
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOLL EYE PC OF PA
Practice address
10160 Bustleton Ave
Suite F
Philadelphia, PA 19116-3749
Phone
(215) 934-7655
Fax
(215) 934-6278
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen M Soll, M.D.
Title
M.D.
Phone
(215) 288-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

10160 Bustleton Ave
Suite F
Philadelphia, PA 19116-3749

Mailing address

5001 Frankford Ave
Philadelphia, PA 19124-2619
Phone (215) 288-5000

Other identifiers 7

IdentifierTypeStateIssuer
00053129004OtherPAIBC KEYSTONE
27807OtherPAHEALTH PARTNERS
50081OtherPAAETNA HMO
1027255OtherPAKEYSTONE MERCY
0009231760014MedicaidPA
00039405OtherPAHIGHMARK BS
4617586OtherPAAETNA PPO

Other names 1

  • SOLL EYE, NORTHEAST DIVISION Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1285628636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242619",
            "telephone_number": "215-288-5000",
            "fax_number": "215-744-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 BUSTLETON AVE",
            "address_2": "SUITE F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163749",
            "telephone_number": "215-934-7655",
            "fax_number": "215-934-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLL EYE PC OF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "SOLL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "215-288-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC  KEYSTONE",
            "identifier": "00053129004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "27807",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "50081",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1027255",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009231760014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "00039405",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4617586",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOLL EYE, NORTHEAST DIVISION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.